RT Book, Section
A1 Gomella, Tricia Lacy
A1 Cunningham, M. Douglas
A1 Eyal, Fabien G.
A1 Tuttle, Deborah J.
SR Print(0)
ID 1107525091
T1 Spontaneous Intestinal Perforation
T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e
YR 2013
FD 2013
PB McGraw-Hill Education
PP New York, NY
SN 9780071768016
LK accesspediatrics.mhmedical.com/content.aspx?aid=1107525091
RD 2023/05/27
AB A  spontaneous  intestinal  perforation  (SIP)  is  a  single  intestinal  perforation  typically  involving  the  antimesenteric  border  of  distal  ileum,  which  usually  occurs  without  a  defined  prodrome  in  extremely  premature  infants  in  the  first  1–2  weeks  of  life.  These  infants  usually  have  not  been  fed  (or  have  received  minimum  feeds).  At  the  area  of  perforation,  focal  hemorrhagic  necrosis  with  well-defined  margins  is  observed  in  contrast  to  ischemic  and  coagulative  necrosis  seen  in  necrotizing  enterocolitis  (NEC).  The  bowel  proximal  and  distal  to  the  perforation  appears  normal.